Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2021-07-08-68
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215615 DEA: 101L2304 EFIS: 1020000163 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4-5.4/13.4 |
| Award Date | 05/05/2021 |
| Closeout Date | 01/31/2022 |
| Work Description | COLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA. |
| Location Description | SAN JOAQUIN COUNTY NEAR STOCKTON FROM 1 MILE EAST OF MIDDLE RIVER BRIDGE TO 0.1 MILE WEST OF JOHN TURK ROAD |
| QA Service Level | 1 (Verified on 04/21/2021) |
Sample Information
| Sample Taken Date | 07/08/2021 | Sample Unique Key | 68 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 07/12/2021 |
| Sample type | Verification | A brief description of the sample | HMA-A-R 12% |
| The quantity of what the sample constitutes | 16 boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Dehoff |
| Title of sampler | MREA | Telephone number of sampler | 209-610-0809 |
| Laboratory sample identification | 21-J-037 | Linked DIME Sample ID | 2021-08-12-37 |
| The fabricator/manufacturer/facility name | George Reed - Clements Plant | Transportation Laboratory (TL) Number | C034932 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||